Improvement wasn’t enough to protect every plan’s 2027 Star Rating. Four-Star cut points rose by 2 to 10 points, 72 contracts lost bonus status while only 35 gained it, and the number of 5-Star contracts fell from 22 to 15. The next two rating years will bring even more change.
By 2029, 13 rating factors will leave the program, including call center, appeals and complaints measures. Clinical outcomes now account for 11% of the Overall rating, up from 3% in 2025. Part D adherence measures drop to a weight of 1 for 2028, then return to a weight of 3 for 2029—with no guardrails. And measurement for Depression Screening and Follow-Up begins January 1, 2027.
The decisions health plans make over the next three to six months will help shape their future ratings.
Join Healthmine’s Stars and engagement teams to unpack the most important takeaways from the 2027 Star Ratings and turn them into priorities for 2028 and 2029. In this session, you’ll learn:
- What set the 80 contracts rated 4.5 Stars or higher apart from other H contracts
- Which uncapped measures could see double-digit cut point increases—and how to prepare
- How to protect your rating as administrative measures exit and HEDIS, HOS and CAHPS take on greater importance
- Which actions to prioritize early in measurement year 2027 and how to put them into practice
Register today.
What the 2027 Star Ratings Mean for 2028 and 2029
Improvement wasn’t enough to protect every plan’s 2027 Star Rating. Four-Star cut points rose by 2 to 10 points, 72 contracts lost bonus status while only 35 gained it, and the number of 5-Star contracts fell from 22 to 15. The next two rating years will bring even more change.
By 2029, 13 rating factors will leave the program, including call center, appeals and complaints measures. Clinical outcomes now account for 11% of the Overall rating, up from 3% in 2025. Part D adherence measures drop to a weight of 1 for 2028, then return to a weight of 3 for 2029—with no guardrails. And measurement for Depression Screening and Follow-Up begins January 1, 2027.
The decisions health plans make over the next three to six months will help shape their future ratings.
Join Healthmine’s Stars and engagement teams to unpack the most important takeaways from the 2027 Star Ratings and turn them into priorities for 2028 and 2029. In this session, you’ll learn:
- What set the 80 contracts rated 4.5 Stars or higher apart from other H contracts
- Which uncapped measures could see double-digit cut point increases—and how to prepare
- How to protect your rating as administrative measures exit and HEDIS, HOS and CAHPS take on greater importance
- Which actions to prioritize early in measurement year 2027 and how to put them into practice
Register today.
Speakers
Ana brings more than 20 years of healthcare and health plan experience to Healthmine. She most recently came from WellSense Health Plan, formerly Boston Medical Center HealthNet Plan. She had oversight of work related to Stars, HEDIS®, NCQA, Quality Rating System, External Quality Review Organization, population health programs, new product implementation, value-based care programs, policy advocacy and health equity programs.
Ana developed multiple innovative member and provider interventions that were integral in the successful improvement of key HEDIS and Consumer Assessment of Healthcare Providers and Systems (CAHPS) quality measures and meeting corporate and contractual goals. She has experience with successfully identifying and implementing new to industry initiatives, such as texting, with proven quality and financial improvement. Ana is bilingual in English and Spanish and has used this in community initiatives to help engage members and improve the quality of care for the Medicaid, Medicare, Affordable Care Act, and Commercial populations.
Ana holds a master’s degree from Simmons University in Health Administration and a bachelor’s degree from the University of New Hampshire.
David is a seasoned sales and business development executive with over 20 years of experience driving growth, expanding markets, and generating revenue in the healthcare technology and insurance sectors. Throughout his career, he has progressed from managing key accounts and facilitating new product implementations to leading strategic sales initiatives. His roles have consistently focused on expanding market share and optimizing performance for clients.
Stephan has led client-facing teams for more than 18 years in a variety of roles across strategy and operations consulting, data analytics, and the health tech sector. He has partnered with some of the largest insurers and healthcare providers in the U.S. as a leader in client success, go-to-market planning, product and program management, and business operations teams. In his most recent role at Get Well, he was the Vice President of Go to Market Strategy and prior to that, he led the account management team at Inovalon and was a consultant at Deloitte and FTI consulting.
What the 2027 Star Ratings Mean for 2028 and 2029
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Improvement wasn’t enough to protect every plan’s 2027 Star Rating. Four-Star cut points rose by 2 to 10 points, 72 contracts lost bonus status while only 35 gained it, and the number of 5-Star contracts fell from 22 to 15. The next two rating years will bring even more change.
By 2029, 13 rating factors will leave the program, including call center, appeals and complaints measures. Clinical outcomes now account for 11% of the Overall rating, up from 3% in 2025. Part D adherence measures drop to a weight of 1 for 2028, then return to a weight of 3 for 2029—with no guardrails. And measurement for Depression Screening and Follow-Up begins January 1, 2027.
The decisions health plans make over the next three to six months will help shape their future ratings.
Join Healthmine’s Stars and engagement teams to unpack the most important takeaways from the 2027 Star Ratings and turn them into priorities for 2028 and 2029. In this session, you’ll learn:
- What set the 80 contracts rated 4.5 Stars or higher apart from other H contracts
- Which uncapped measures could see double-digit cut point increases—and how to prepare
- How to protect your rating as administrative measures exit and HEDIS, HOS and CAHPS take on greater importance
- Which actions to prioritize early in measurement year 2027 and how to put them into practice
Register today.
Featured presenters
Ana brings more than 20 years of healthcare and health plan experience to Healthmine. She most recently came from WellSense Health Plan, formerly Boston Medical Center HealthNet Plan. She had oversight of work related to Stars, HEDIS®, NCQA, Quality Rating System, External Quality Review Organization, population health programs, new product implementation, value-based care programs, policy advocacy and health equity programs.
Ana developed multiple innovative member and provider interventions that were integral in the successful improvement of key HEDIS and Consumer Assessment of Healthcare Providers and Systems (CAHPS) quality measures and meeting corporate and contractual goals. She has experience with successfully identifying and implementing new to industry initiatives, such as texting, with proven quality and financial improvement. Ana is bilingual in English and Spanish and has used this in community initiatives to help engage members and improve the quality of care for the Medicaid, Medicare, Affordable Care Act, and Commercial populations.
Ana holds a master’s degree from Simmons University in Health Administration and a bachelor’s degree from the University of New Hampshire.
David is a seasoned sales and business development executive with over 20 years of experience driving growth, expanding markets, and generating revenue in the healthcare technology and insurance sectors. Throughout his career, he has progressed from managing key accounts and facilitating new product implementations to leading strategic sales initiatives. His roles have consistently focused on expanding market share and optimizing performance for clients.
Stephan has led client-facing teams for more than 18 years in a variety of roles across strategy and operations consulting, data analytics, and the health tech sector. He has partnered with some of the largest insurers and healthcare providers in the U.S. as a leader in client success, go-to-market planning, product and program management, and business operations teams. In his most recent role at Get Well, he was the Vice President of Go to Market Strategy and prior to that, he led the account management team at Inovalon and was a consultant at Deloitte and FTI consulting.
